Incomplete excision or postoperative hematoma: primary right ventricular intramyocardial lipoma involving the right ventricular outflow tract

详细信息    查看全文

• 作者：Yonghuai Wang ; Chunyan Ma ; Jun Yang ; Tianxiang Gu
• 关键词：Cardiac tumor ; Right ventricular ; Transthoracic echocardiography
• 刊名：Journal of Medical Ultrasonics
• 出版年：2015
• 出版时间：October 2015
• 年：2015
• 卷：42
• 期：4
• 页码：541-545
• 全文大小：3,650 KB
• 参考文献：1.Joaquim MR, Braile DM, Arruda MV, et al. Right atrial lipoma resection and partial reconstruction using bovine pericardium. Rev Bras Cir Cardiovasc. 2009;24:239鈥?1.CrossRef PubMed
  2.McAllister HA Jr. Primary tumors and cysts of the heart and pericardium. Curr Probl Cardiol. 1979;4:1鈥?1.CrossRef PubMed
  3.Yamamoto T, Nejima J, Ino T, et al. A case of massive left atrial lipoma occupying pericardial space. Jpn Heart J. 2004;45:715鈥?1.CrossRef PubMed
  4.Jimenez S, Palma J, Reyes G. Intramyocardial lipoma. Rev Esp Cardiol. 2009;62:329鈥?0.CrossRef PubMed
  5.Tanzola RC, Allard R, Hamilton A. Intraoperative transesophageal echocardiography for an intracavitary left ventricular lipoma. Anesth Analg. 2009;108:786鈥?.CrossRef PubMed
  
• 作者单位：Yonghuai Wang (1)
  Chunyan Ma (1)
  Jun Yang (1)
  Tianxiang Gu (2)
  
  1. The Department of Cardiovascular Ultrasound, First Hospital of China Medical University, No. 155 Nanjingbei Street, Shenyang, 110001, Liaoning, China
  2. The Department of Cardiac Surgery, The First Hospital of China Medical University, Shenyang, Liaoning, People鈥檚 Republic of China
  
• 刊物主题：Ultrasound; Imaging / Radiology;
• 出版者：Springer Japan
• ISSN：1613-2254

文摘

Primary benign cardiac tumors are relatively rare, and lipomas are even less frequent. We presented a case of primary intramyocardial lipoma involving the right ventricular outflow tract diagnosed through transthoracic echocardiography and surgical pathology. The tumor was completely resected. Surprisingly, an echogenic mass similar to the one seen before the operation in terms of the echogenicity and morphological characteristics was found at the same location 1 week after the complete resection. Was it an incomplete excision or a postoperative hematoma? After regular echocardiographic follow-up, the echogenic mass disappeared. It was inferred that the echogenic mass may have been a postoperative intramyocardial hematoma. Keywords Cardiac tumor Right ventricular Transthoracic echocardiography